CN114569098A - Monitoring system, monitoring equipment and atrial fibrillation presenting method thereof - Google Patents

Monitoring system, monitoring equipment and atrial fibrillation presenting method thereof Download PDF

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Publication number
CN114569098A
CN114569098A CN202011380156.9A CN202011380156A CN114569098A CN 114569098 A CN114569098 A CN 114569098A CN 202011380156 A CN202011380156 A CN 202011380156A CN 114569098 A CN114569098 A CN 114569098A
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China
Prior art keywords
atrial fibrillation
heart rate
information
target
analysis result
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CN202011380156.9A
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Chinese (zh)
Inventor
刘梦星
孙泽辉
关则宏
何先梁
叶文宇
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Priority to CN202011380156.9A priority Critical patent/CN114569098A/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays

Abstract

According to the monitoring system, the monitoring equipment and the atrial fibrillation presenting method provided by the invention, the comprehensive view of atrial fibrillation is displayed according to the heart rate analysis result and the atrial fibrillation analysis result by acquiring the heart rate analysis result and the atrial fibrillation analysis result. The comprehensive view of atrial fibrillation comprises the following steps: presetting heart rate information and a target heart rate identification thereof in an atrial fibrillation monitoring period, and presetting atrial fibrillation information in the atrial fibrillation monitoring period; wherein the atrial fibrillation information includes at least one of atrial fibrillation load, the number of occurrences of atrial fibrillation, and the duration of atrial fibrillation; the target heart rate identification is used for identifying a preset target heart rate. Presenting through the association of atrial fibrillation with the rhythm of the heart, through the mode of imaging, can be comprehensive, directly perceivedly present the quantitative analysis result of atrial fibrillation incident and rhythm of the heart for medical personnel, and then help medical personnel to know the achievement condition of patient's rhythm of the heart control target of atrial fibrillation, improved the efficiency of the management of atrial fibrillation.

Description

Monitoring system, monitoring equipment and atrial fibrillation presenting method thereof
Technical Field
The invention relates to the field of medical instruments, in particular to a monitoring system, monitoring equipment and an atrial fibrillation presenting method thereof.
Background
Atrial Fibrillation (AF), referred to as atrial fibrillation, is one of the most common cardiac arrhythmias in cardiology. The incidence of atrial fibrillation increases progressively with age, reaching 7.5% in people over 80 years of age. Atrial fibrillation is extremely common in intensive cardiac care, for example, with an incidence of up to 55% in patients with severe heart failure. To find and assess atrial fibrillation in time, medical personnel often use bedside monitors to continuously monitor patients in real time. The existing monitoring system usually only detects atrial fibrillation and gives an alarm, for example, when a monitor detects that atrial fibrillation occurs on an electrocardiogram through a background algorithm, an atrial fibrillation character string can be automatically popped up in an alarm area, medical staff is reminded to pay attention through acousto-optic prompt, and when atrial fibrillation is finished and sinus rhythm is recovered, an atrial fibrillation stop character string can be automatically popped up in the alarm area; in addition to the real-time alerts described above, the medical personnel may also review historical alert data via an event list of the review interface. However, medical personnel can not comprehensively judge the patient by the atrial fibrillation alarm and the electrocardiographic waveform when the atrial fibrillation happens, so the efficiency of the medical personnel in managing the atrial fibrillation is lower.
Heart Rate (HR) control is currently the main strategy for atrial fibrillation management and is one of the basic goals for atrial fibrillation therapy. The heart rate control of patients with atrial fibrillation has good effects on improving symptoms, improving life quality, reducing incidence rate of heart failure and the like. The monitoring and the control of the heart rate are necessary for patients with atrial fibrillation, and the heart rate change in the generation and stopping periods of the atrial fibrillation has important significance for the treatment and the management of the atrial fibrillation. At present, the diagnosis and monitoring device has the functions of automatic atrial fibrillation detection and continuous heart rate calculation, the results of the automatic atrial fibrillation detection and the continuous heart rate calculation are often presented in an isolated mode, and the diagnosis and monitoring device is a tool which is rarely used for combining the results of atrial fibrillation detection and quantitative analysis of the atrial fibrillation detection with the concentric rate change. In addition, for heart rate control of patients with atrial fibrillation, no tool is available to assist medical personnel in quantitative assessment of the achievement or non-achievement of control objectives.
Disclosure of Invention
The invention mainly provides a monitoring system, monitoring equipment and an atrial fibrillation presenting method thereof, so as to improve the efficiency of atrial fibrillation management.
An embodiment provides an atrial fibrillation presentation method, including:
acquiring a heart rate analysis result and an atrial fibrillation analysis result;
displaying an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: heart rate information in an atrial fibrillation monitoring period and atrial fibrillation information in the atrial fibrillation monitoring period are preset;
responding to the operation of selecting the target time interval by the user, further displaying an atrial fibrillation time interval view, wherein the atrial fibrillation time interval view comprises: at least one of heart rate information within the target time interval and atrial fibrillation information within the target time interval, wherein the target time interval is any one of a plurality of minimum unit time periods or includes a plurality of consecutive minimum unit time periods.
An embodiment provides a method, wherein before the step of obtaining heart rate analysis results and atrial fibrillation analysis results, the method further comprises:
acquiring monitoring data of at least one vital sign parameter including electrocardio parameters of a patient;
according to the monitoring data, heart rate detection is carried out to obtain a heart rate analysis result; and/or the presence of a gas in the gas,
and according to the monitoring data, performing atrial fibrillation detection to obtain an atrial fibrillation analysis result.
An embodiment provides the method wherein the heart rate information includes at least one of: heart rate trend information, heart rate statistical information and typical heart rate event statistical information; and/or, the atrial fibrillation information comprises at least one of: atrial fibrillation tendency information, atrial fibrillation statistical information and typical atrial fibrillation event statistical information.
An embodiment provides the method wherein at least a portion of the heart rate information and at least a portion of the atrial fibrillation information are displayed on the same time axis in the atrial fibrillation time period view.
An embodiment provides a method, further comprising:
responding to the operation of selecting a target time interval by a user, in the integrated view of the atrial fibrillation, performing differentiated display on at least one part of the heart rate information corresponding to the target time interval in a manner different from that of other time intervals, and performing differentiated display on at least one part of the atrial fibrillation information corresponding to the target time interval in a manner different from that of other time intervals.
One embodiment provides a method, wherein the heart rate trend information includes at least one of: the heart rate identification method comprises a heart rate trend graph, heart rate quantitative information and a target heart rate identification, wherein the target heart rate identification is used for identifying a preset target heart rate.
An embodiment provides the method, wherein the heart rate trend graph comprises one of a graph, a histogram, a bar graph, a box plot, a scatter plot, a line plot, a pie graph, a donut graph, or a combination thereof.
One embodiment provides a method wherein the target heart rate is identified as a target line characterizing a target heart rate value; the target line comprises two lines which respectively represent the upper limit of the target heart rate value and the lower limit of the target heart rate value; or the target line is one and represents the upper limit of the target heart rate value or the lower limit of the target heart rate value.
An embodiment provides a method, wherein the heart rate statistics includes at least one of: the duration and/or the duration ratio of the atrial fibrillation occurring heart rate in different numerical ranges, the total duration and/or the duration ratio of the atrial fibrillation occurring heart rate, the duration and/or the duration ratio of the atrial fibrillation non-occurring heart rate in different numerical ranges, the total duration and/or the event ratio of the atrial fibrillation non-occurring heart rate and the target heart rate identification; the target heart rate identification is used for identifying a preset target heart rate.
An embodiment provides a method, wherein the atrial fibrillation tendency information includes at least one of: an atrial fibrillation tendency chart, an atrial fibrillation occurrence frequency tendency, an atrial fibrillation duration tendency and an atrial fibrillation load tendency.
In one embodiment, the atrial fibrillation statistical information of the integrated view of atrial fibrillation includes at least one of the following information: presetting total atrial fibrillation occurrence times in an atrial fibrillation monitoring period, presetting total atrial fibrillation duration in the atrial fibrillation monitoring period, presetting total atrial fibrillation load in the atrial fibrillation monitoring period, sectional statistical information of the atrial fibrillation duration and target atrial fibrillation load identification, wherein the target atrial fibrillation load identification is used for identifying a preset target atrial fibrillation load value; the atrial fibrillation statistical information of the atrial fibrillation time-interval view comprises at least one of the following information: the method comprises the following steps of total occurrence frequency of atrial fibrillation in a target time interval, total duration of atrial fibrillation in the target time interval, total load of atrial fibrillation in the target time interval, sectional statistical information of the duration of the atrial fibrillation, identification of the target atrial fibrillation load and target time interval information.
One embodiment provides a method, wherein the atrial fibrillation tendency chart comprises one of a graph, a histogram, a bar graph, a box line graph, a scatter diagram, a line graph, a pie graph and a ring graph or a combination thereof; and/or the target atrial fibrillation load is identified as a target line representing a target atrial fibrillation load value.
An embodiment provides the method, wherein the typical heart rate event statistics and/or the typical atrial fibrillation event statistics include one or more of the following at least one event occurrence start time, occurrence end time, occurrence number, duration or corresponding atrial fibrillation load: atrial fibrillation with a fast heart rate, atrial fibrillation with a long RR pause, tachycardia, bradycardia, extreme tachycardia, extreme bradycardia, first-onset atrial fibrillation, maximum-heart-rate atrial fibrillation, longest-duration atrial fibrillation, atrial fibrillation with a slow heart rate, and a heart rate extremum.
One embodiment provides a method wherein the integrated view of atrial fibrillation and the segmented view of atrial fibrillation are displayed in different regions; or, the integrated view of atrial fibrillation and the view of atrial fibrillation time interval are displayed at least partially coincidently; or the atrial fibrillation time-interval view is displayed in a floating window mode; alternatively, the display is performed in a fixed area.
An embodiment provides a method for presenting atrial fibrillation and heart rate, comprising the following steps of:
acquiring a heart rate analysis result and an atrial fibrillation analysis result;
displaying an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: presetting heart rate information and a target heart rate identification thereof in an atrial fibrillation monitoring period, and presetting atrial fibrillation information in the atrial fibrillation monitoring period; the atrial fibrillation information comprises at least one of atrial fibrillation load, the frequency of occurrence of atrial fibrillation and atrial fibrillation duration; the target heart rate identification is used for identifying a preset target heart rate.
One embodiment provides the method, wherein before the step of obtaining the heart rate analysis result and the atrial fibrillation analysis result, the method further comprises:
acquiring monitoring data of at least one vital sign parameter including electrocardio parameters of a patient;
according to the monitoring data, heart rate detection is carried out to obtain a heart rate analysis result; and/or the presence of a gas in the gas,
and according to the monitoring data, performing atrial fibrillation detection to obtain an atrial fibrillation analysis result.
One embodiment provides a method, wherein the integrated atrial fibrillation view further includes:
and presetting the total duration and/or the total duration ratio of the heart rate exceeding the target heart rate in the atrial fibrillation monitoring period.
An embodiment provides a method, wherein the heart rate information includes:
a scatter diagram used for reflecting heart rate values at different moments in a preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
the curve chart or the line graph is used for reflecting the heart rate values at different moments in the preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
and the boxplot is used for embodying at least one of the extreme value, the mean value, the median value and the quantile of the heart rate in different preset time periods in the preset atrial fibrillation monitoring period.
An embodiment provides the method wherein at least a portion of the heart rate information and atrial fibrillation information share a common time axis.
An embodiment provides a method, further comprising:
in the integrated view of the atrial fibrillation, displaying at least one part of the heart rate information corresponding to the target time interval selected by the user in a different display mode from that of other time intervals, and displaying at least one part of the atrial fibrillation information corresponding to the target time interval selected by the user in a different display mode from that of other time intervals; and/or the presence of a gas in the gas,
at least one part of the heart rate information in the first time period is displayed in a differentiated mode different from the display mode of other time periods, and at least one part of the atrial fibrillation information in the first time period is displayed in a differentiated mode different from the display mode of other time periods, wherein the first time period is as follows: a heart rate exceeding a duration of the target heart rate, and wherein the duration is greater than a preset threshold time for which atrial fibrillation occurred.
An embodiment provides a method, wherein the integrated view of atrial fibrillation further comprises: the atrial fibrillation monitoring system comprises one or a combination of a curve graph, a histogram, a bar graph, a box line graph, a scatter diagram, a broken line graph, a pie graph and a ring graph, wherein the curve graph, the bar graph, the box line graph, the scatter diagram, the broken line graph, the pie graph and the ring graph are used for reflecting atrial fibrillation information of different time periods in a preset atrial fibrillation monitoring period; or, presetting typical atrial fibrillation event statistical information and/or typical heart rate event statistical information in an atrial fibrillation monitoring period.
An embodiment provides a method, wherein the typical atrial fibrillation event statistics and/or typical heart rate event statistics include one or more of an occurrence start time, an occurrence end time, an occurrence number, a duration, or a corresponding atrial fibrillation load of at least one of the following typical events: atrial fibrillation with a fast heart rate, atrial fibrillation with a long RR pause, tachycardia, bradycardia, extreme tachycardia, extreme bradycardia, atrial fibrillation with a slow heart rate, first atrial fibrillation, maximum heart rate atrial fibrillation, longest duration atrial fibrillation and an extreme heart rate value; and/or the number of occurrences of atrial fibrillation with a heart rate exceeding the total duration of the target heart rate, the duration of each atrial fibrillation with a heart rate exceeding the total duration of the target heart rate.
An embodiment provides a method, wherein the integrated view of atrial fibrillation further comprises: presetting typical waveform information in an atrial fibrillation monitoring period; the typical waveform information includes at least one segment of at least one of the following waveforms: the patient first sends the electrocardio waveform of atrial fibrillation, contains one section electrocardio waveform of rhythm of the heart highest value, contains one section electrocardio waveform of rhythm of the heart lowest value, contains one section electrocardio waveform of the biggest rhythm of the atrial fibrillation companion, the electrocardio waveform that the atrial fibrillation of duration longest corresponds.
An embodiment provides a method, wherein the integrated view of atrial fibrillation further comprises: presetting a heart rate statistical chart in an atrial fibrillation monitoring period; the heart rate statistics graph is used to display: the duration or ratio of durations of atrial fibrillation occurring heart rates in different value ranges, the duration or ratio of durations of atrial fibrillation non-occurring heart rates in different value ranges, and the target heart rate identification.
An embodiment provides a monitoring device comprising:
the processor is used for acquiring a heart rate analysis result and an atrial fibrillation analysis result; controlling the display to display an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: heart rate information in an atrial fibrillation monitoring period and atrial fibrillation information in the atrial fibrillation monitoring period are preset; in response to an operation received by the input device for selecting a target time interval, further displaying an atrial fibrillation time interval view, including: at least one of heart rate information within the target time interval and atrial fibrillation information within the target time interval, wherein the target time interval is any one of a plurality of minimum unit time periods or includes a plurality of consecutive minimum unit time periods.
In the monitoring device provided in an embodiment, the monitoring device further includes a signal collector, and the signal collector is configured to obtain monitoring data of at least one vital sign parameter of a patient, including an electrocardiographic parameter;
the processor is specifically configured to perform heart rate detection according to the monitoring data to obtain the heart rate analysis result; and/or the presence of a gas in the gas,
and according to the monitoring data, performing atrial fibrillation detection to obtain an atrial fibrillation analysis result.
An embodiment provides the monitoring device, wherein the heart rate information includes at least one of: heart rate trend information, heart rate statistical information and typical heart rate event statistical information; and/or, the atrial fibrillation information comprises at least one of: atrial fibrillation tendency information, atrial fibrillation statistical information and typical atrial fibrillation event statistical information.
An embodiment provides the monitoring device wherein at least a portion of the heart rate information and at least a portion of the atrial fibrillation information are displayed on the same time axis in the atrial fibrillation time-interval view.
An embodiment provides a monitoring device comprising:
the processor is used for acquiring a heart rate analysis result and an atrial fibrillation analysis result; controlling the display to display an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: presetting heart rate information and a target heart rate identifier thereof in an atrial fibrillation monitoring period, and presetting atrial fibrillation information in the atrial fibrillation monitoring period; the atrial fibrillation information comprises at least one of atrial fibrillation load, the frequency of occurrence of atrial fibrillation and atrial fibrillation duration; the target heart rate identification is used for identifying a preset target heart rate.
An embodiment provides a monitoring device, wherein the integrated view of atrial fibrillation further includes:
and presetting the total duration and/or the total duration ratio of the heart rate exceeding the target heart rate in the atrial fibrillation monitoring period.
An embodiment provides a monitoring device, wherein the heart rate information includes:
a scatter diagram used for reflecting heart rate values at different moments in a preset atrial fibrillation monitoring period; alternatively, the first and second liquid crystal display panels may be,
the curve chart or the line graph is used for reflecting the heart rate values at different moments in the preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
and the boxplot is used for embodying at least one of the extreme value, the mean value, the median value and the quantile of the heart rate in different preset time periods in the preset atrial fibrillation monitoring period.
An embodiment provides a monitoring device, wherein the monitoring device comprises a monitor or a central station.
An embodiment provides a monitoring system comprising:
a first device for monitoring a patient; acquiring monitoring data of at least one vital sign parameter including electrocardio parameters of a patient; according to the monitoring data, heart rate detection is carried out to obtain a heart rate analysis result; and/or detecting atrial fibrillation according to the monitoring data to obtain an atrial fibrillation analysis result; sending the heart rate analysis result and the atrial fibrillation analysis result to second equipment;
and the second equipment is used for displaying an atrial fibrillation comprehensive view according to the received heart rate analysis result and the received atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: heart rate information in an atrial fibrillation monitoring period and atrial fibrillation information in the atrial fibrillation monitoring period are preset; responding to the operation of selecting the target time interval by the user, further displaying an atrial fibrillation time interval view, wherein the atrial fibrillation time interval view comprises: at least one of heart rate information within the target time interval and atrial fibrillation information within the target time interval.
An embodiment provides the monitoring system, wherein in the atrial fibrillation time-interval view, at least a portion of the heart rate information and at least a portion of the atrial fibrillation information are displayed on the same time axis.
An embodiment provides a monitoring system comprising:
a first device for monitoring a patient; acquiring monitoring data of at least one vital sign parameter including electrocardio parameters of a patient; according to the monitoring data, heart rate detection is carried out to obtain a heart rate analysis result; and/or detecting atrial fibrillation according to the monitoring data to obtain an atrial fibrillation analysis result; sending the heart rate analysis result and the atrial fibrillation analysis result to second equipment;
the second device is used for displaying an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: presetting heart rate information and a target heart rate identification thereof in an atrial fibrillation monitoring period, and presetting atrial fibrillation information in the atrial fibrillation monitoring period; the atrial fibrillation information comprises at least one of atrial fibrillation load, the frequency of occurrence of atrial fibrillation and atrial fibrillation duration; the target heart rate identification is used for identifying a preset target heart rate.
An embodiment provides a monitoring system, wherein the integrated view of atrial fibrillation further includes:
and presetting the total duration and/or the total duration ratio of the heart rate exceeding the target heart rate in the atrial fibrillation monitoring period.
An embodiment provides a monitoring system, wherein the heart rate information includes:
a scatter diagram used for reflecting heart rate values at different moments in a preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
the curve chart or the line graph is used for reflecting the heart rate values at different moments in the preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
and the boxplot is used for embodying at least one of the extreme value, the mean value, the median value and the quantile of the heart rate in different preset time periods in the preset atrial fibrillation monitoring period.
An embodiment provides the monitoring system wherein the first device comprises a monitor and the second device comprises a central station.
An embodiment provides a computer readable storage medium comprising a program executable by a processor to implement a method as described above.
According to the monitoring system, the monitoring equipment and the atrial fibrillation presenting method of the monitoring system, the heart rate analysis result and the atrial fibrillation analysis result are obtained, and the atrial fibrillation comprehensive view is displayed according to the heart rate analysis result and the atrial fibrillation analysis result. The comprehensive view of atrial fibrillation comprises the following steps: presetting heart rate information and a target heart rate identification thereof in an atrial fibrillation monitoring period, and presetting atrial fibrillation information in the atrial fibrillation monitoring period; wherein the atrial fibrillation information includes at least one of atrial fibrillation load, the number of occurrences of atrial fibrillation, and the duration of atrial fibrillation; the target heart rate identification is used for identifying a preset target heart rate. Presenting through the association of atrial fibrillation with the rhythm of the heart, through the mode of imaging, can be comprehensive, directly perceivedly present the quantitative analysis result of atrial fibrillation incident and rhythm of the heart for medical personnel, and then help medical personnel to know the achievement condition of patient's rhythm of the heart control target of atrial fibrillation, improved the efficiency of the management of atrial fibrillation.
Drawings
FIG. 1 is a block diagram of a monitoring device according to an embodiment of the present invention;
FIG. 2 is a schematic diagram of an embodiment of an integrated atrial fibrillation view and a time-interval atrial fibrillation view of the monitoring device according to the present invention;
FIG. 3 is a schematic diagram of an embodiment of an integrated atrial fibrillation view and a time-interval atrial fibrillation view of the monitoring device according to the present invention;
FIG. 4 is a block diagram of an embodiment of a processor in the monitoring device according to the present invention;
FIG. 5 is a flowchart illustrating an embodiment of a method for presenting atrial fibrillation according to the present invention;
fig. 6 is a schematic diagram of an embodiment of an integrated atrial fibrillation view in the monitoring device of the present invention.
Detailed Description
The present invention will be described in further detail with reference to the following detailed description and accompanying drawings. Wherein like elements in different embodiments are numbered with like associated elements. In the following description, numerous details are set forth in order to provide a better understanding of the present application. However, those skilled in the art will readily recognize that some of the features may be omitted or replaced with other elements, materials, methods in different instances. In some instances, certain operations related to the present application have not been shown or described in detail in order to avoid obscuring the core of the present application from excessive description, and it is not necessary for those skilled in the art to describe these operations in detail, so that they may be fully understood from the description in the specification and the general knowledge in the art.
Furthermore, the features, operations, or characteristics described in the specification may be combined in any suitable manner to form various embodiments. Also, the various steps or actions in the method descriptions may be transposed or transposed in order, as will be apparent to one of ordinary skill in the art. Thus, the various sequences in the specification and drawings are for the purpose of describing certain embodiments only and are not intended to imply a required sequence unless otherwise indicated where such sequence must be followed.
The numbering of the components as such, e.g., "first", "second", etc., is used herein only to distinguish the objects as described, and does not have any sequential or technical meaning. The term "connected" and "coupled" when used in this application, unless otherwise indicated, includes both direct and indirect connections (couplings).
The monitoring system, the monitoring equipment and the atrial fibrillation presenting method thereof comprehensively and intuitively present quantitative analysis results of atrial fibrillation events and heart rates for medical staff in a graphical mode, present achievement conditions of heart rate control targets of patients with atrial fibrillation at the same time, and provide an efficient and convenient auxiliary tool for atrial fibrillation management. Specifically, a doctor can see the influence of the atrial fibrillation load on the heart rate, see whether the high heart rate is related to the atrial fibrillation load, and if the correlation is general, the doctor can directly prescribe some medicines for controlling the heart rate; if the heart rate of a patient is very related, the heart rate of the patient is high, the symptoms are obvious, a doctor can adjust the type of the medicine, and can directly carry out medicine cardioversion besides the simple control of the heart rate, for example, amiodarone medicines are used, atrial fibrillation is converted into sinus rhythm, and the heart rate is completely controlled; in addition, doctors may not only prescribe medicines, but also decide to perform atrial fibrillation ablation operation, and solve the source problem. Therefore, the two methods are presented in a combined manner, which is beneficial for doctors to accurately judge the illness state of patients and take further measures.
As shown in fig. 1, the monitoring device of the present invention comprises a signal collector 10, a processor 20, a display 30 and an input device 40.
The input device 40 is configured to receive an input from a user (typically an operator), for example, one or more of a mouse, a keyboard, a touch display, a trackball, and a joystick may be employed to receive an instruction input from the user, and the like. The user can perform an input operation through the input device 40.
The display 30 is designed for outputting information, for example visual information. The display 30 may be a display having only a display function, or may be a touch display. It can be seen that the display 30 and the input device 40 are human-computer interaction devices of the monitoring device, and the human-computer interaction devices can receive the instructions input by the user and can display visual information.
The signal collector 10 is configured to obtain data, such as monitoring data, specifically, monitoring data of at least one vital sign parameter of a patient, where the at least one vital sign parameter includes an electrocardiographic parameter (electrocardiographic signal); of course, heart rate analysis results, atrial fibrillation analysis results, and the like may also be obtained.
The monitoring device may be any one of a monitor, a local central station, a remote central station, a cloud service system, and a mobile terminal, and the mode of acquiring the monitored data by the corresponding signal collector 10 is also different. For example, if the monitoring device is a monitor, the signal collector 10 can employ a sensor for monitoring the vital sign parameters of the patient to obtain the monitored data of the vital sign parameters. The monitored data of the vital sign parameters can comprise at least one of the types of the vital sign parameters (such as one or more of electrocardio, respiration, noninvasive blood pressure, blood oxygen saturation, pulse, body temperature, invasive blood pressure, end-of-breath carbon dioxide, respiratory mechanics, anesthetic gases, cardiac output, electroencephalogram dual-frequency index and the like), the values of the vital sign parameters and the variation trend of the values of the vital sign parameters. For another example, the monitoring device may be a local central station, a remote central station, a cloud service system or a mobile terminal, and the signal collector 10 is a communication device or a communication interface for communicating with the monitor to obtain the monitoring data from the monitor.
The processor 20 may be configured to perform heart rate detection on the monitored data of the electrocardiographic parameters acquired by the signal acquisition device 10 to obtain a heart rate analysis result, and obtain heart rate information required for displaying an integrated view of atrial fibrillation from the heart rate analysis result. The heart rate information includes at least one of: the present embodiment is described by taking the example including the heart rate trend information, the heart rate statistical information, and the typical heart rate event statistical information.
Processor 20 detects atrial fibrillation to the guardianship data that signal collector 10 obtained, obtains the analysis result of atrial fibrillation, can obtain the information of atrial fibrillation that the comprehensive view of display atrial fibrillation needs from the analysis result of atrial fibrillation. The atrial fibrillation information includes at least one of: the present embodiment is described by taking three as examples, namely atrial fibrillation tendency information, atrial fibrillation statistical information, and typical atrial fibrillation event statistical information.
The processor 20 is also configured to display an integrated atrial fibrillation View (AF View) on the basis of the heart rate analysis results and the atrial fibrillation analysis results via a display 30 communicatively connected to the processor 20, as shown in fig. 2 and 3. The comprehensive view of atrial fibrillation comprises the following steps: heart rate information in the atrial fibrillation monitoring period and atrial fibrillation information in the atrial fibrillation monitoring period are preset. The physician may perform the appropriate action in the integrated atrial fibrillation view, such as selecting the target time interval via input device 40, which is within the atrial fibrillation monitoring period. Processor 20 further displays an atrial fibrillation time period view 840, responsive to input device 40 receiving an operation to select a target time period, atrial fibrillation time period view 840 comprising: at least one of heart rate information within a target time interval and atrial fibrillation information within the target time interval. The doctor can see patient's rhythm of the heart and the atrial fibrillation condition in the monitoring period of atrial fibrillation through the comprehensive view of atrial fibrillation to can further see patient's rhythm of the heart and the atrial fibrillation condition in the timesharing through the operation, promptly, the atrial fibrillation presents not only simultaneously with rhythm of the heart information, moreover can be convenient select and present the rhythm of the heart and the atrial fibrillation that the timesharing corresponds, improved the efficiency of atrial fibrillation management.
The comprehensive view of atrial fibrillation also comprises: presetting heart rate information and a target heart rate identification thereof in an atrial fibrillation monitoring period, and presetting atrial fibrillation information in the atrial fibrillation monitoring period; the target heart rate identification is used for identifying a preset target heart rate. Presenting through the association of atrial fibrillation with the rhythm of the heart, through the mode of imaging, can be comprehensive, directly perceivedly present the quantitative analysis result of atrial fibrillation incident and rhythm of the heart for medical personnel, and then help medical personnel to know the achievement condition of patient's rhythm of the heart control target of atrial fibrillation, improved the efficiency of the management of atrial fibrillation.
Referring to fig. 4, the processor 20 includes: a heart rate analysis unit 210, an atrial fibrillation analysis unit 220 and a statistics unit 230. The process of atrial fibrillation presentation by the various units of processor 20 is shown in fig. 5 and includes the following steps:
step 1, a processor 20 obtains a heart rate analysis result and an atrial fibrillation analysis result, for example, directly obtains the heart rate analysis result and the atrial fibrillation analysis result from a monitor through a signal collector 10, for example, obtains monitoring data of at least one vital sign parameter including an electrocardiogram parameter of a patient through the signal collector 10, and then performs heart rate detection according to the monitoring data to obtain a heart rate analysis result; and/or performing atrial fibrillation detection according to the monitored data to obtain an atrial fibrillation analysis result, which is taken as an example for description in this embodiment. It should be understood that the steps of obtaining the heart rate analysis result and the atrial fibrillation analysis result may be performed on the same execution subject or on different execution subjects. For example, the acquisition and analysis of the monitored data can be completed on the signal collector 10 to obtain a heart rate analysis result, and the processor 20 directly obtains the heart rate analysis result from the signal collector 10; meanwhile, the signal collector 10 does not perform atrial fibrillation detection, directly sends monitoring data for atrial fibrillation detection to the processor 20, completes atrial fibrillation detection on the processor 20, and obtains an atrial fibrillation analysis result. For another example, the signal collector 10 may only complete the collection of the monitored data, and after the processor 20 obtains the monitored data collected by the signal collector 10, the heart rate detection and the atrial fibrillation detection are completed on the processor 20 to obtain the heart rate analysis result and the atrial fibrillation analysis result. Other possible scenarios are not described in detail herein.
Specifically, the heart rate analysis unit 210 obtains monitoring data of at least one vital sign parameter of the patient through the signal collector 10, where the obtained monitoring data of the vital sign parameter includes monitoring data of an electrocardiographic parameter. There are various ways to obtain the monitored data of the vital sign parameters, for example, the way one: acquiring real-time monitoring data in a second mode: acquiring monitoring data in a preset atrial fibrillation monitoring period, which is described in detail below.
In a first mode, the heart rate analyzing unit 210 obtains the monitored data of at least one vital sign parameter of the patient in real time through the signal collector 10. Taking the signal collector 10 as an example of a sensor, the sensor collects and preprocesses monitoring data of vital sign parameters of a patient, wherein the monitoring data includes an electrocardiogram parameter of one lead, and corresponding real-time monitoring data is obtained. Taking the signal collector 10 as a communication device or a communication interface as an example, the heart rate analysis unit 210 obtains the monitored data of the vital sign parameters from the monitor in real time through the communication device or the communication interface. By continuously acquiring the real-time monitoring data, the comprehensive view of the atrial fibrillation can finally present various data in a preset atrial fibrillation monitoring period.
In the second mode, the heart rate analysis unit 210 obtains the monitored data of at least one vital sign parameter of the patient in the preset atrial fibrillation monitoring period through the signal collector 10. Similarly, taking signal collector 10 as an example of a sensor, the sensor collects and pre-processes monitoring data of vital sign parameters of a patient during a preset atrial fibrillation monitoring period. Taking the signal collector 10 as a communication device or a communication interface as an example, the heart rate analysis unit 210 obtains the monitored data of the vital sign parameters of the patient in the preset atrial fibrillation monitoring period from the monitor through the communication device or the communication interface. By acquiring monitoring data of each vital sign parameter in the atrial fibrillation monitoring period at one time, the comprehensive view of the atrial fibrillation can finally present each data in the preset atrial fibrillation monitoring period. The preset atrial fibrillation monitoring period may be automatically preset by the system or input or changed by a user, for example, a setting interface is provided through the display, the user inputs or changes the atrial fibrillation monitoring period through the input device in the setting interface, the processor 20 obtains a new atrial fibrillation monitoring period, and the processor 20 updates the integrated atrial fibrillation view with the new atrial fibrillation monitoring period. The atrial fibrillation monitoring period may be measured in hours, days, etc., and in this embodiment, the atrial fibrillation monitoring period is illustrated by taking 24 hours as an example.
Of course, the first and second modes are only used for illustration, and other modes are also possible, and the invention does not limit the acquisition of the monitored data of the vital sign parameters as long as the data required by the integrated view of atrial fibrillation can be provided.
The heart rate analysis unit 210 performs heart rate detection according to the monitored data of the electrocardiographic parameters to obtain a heart rate analysis result, for example, the heart rate at each moment in the atrial fibrillation monitoring period is obtained, so that heart rate trend information is obtained. The heart rate includes, but is not limited to, a ventricular rate, which is exemplified in the present embodiment.
Atrial fibrillation analysis unit 220 obtains the result of atrial fibrillation analysis by signal collector 10. Specifically, there may be multiple ways, for example, if the heart rate analysis unit 210 acquires real-time monitoring data, the atrial fibrillation analysis unit 220 performs atrial fibrillation detection based on the acquired real-time monitoring data to obtain an atrial fibrillation analysis result, where the atrial fibrillation analysis result at least includes information of an atrial fibrillation event that occurs in the patient. Specifically, the atrial fibrillation event may be obtained by detecting atrial fibrillation according to the monitored data of the electrocardiographic parameter, or may be obtained by detecting atrial fibrillation according to other parameters, such as the monitored data of the blood oxygen parameter, the invasive blood pressure and/or the noninvasive blood pressure, which is taken as an example for description in this embodiment. The atrial fibrillation analysis unit 220 acquires the monitoring data of the electrocardio parameters of the patient in real time through the signal acquisition device 10, the atrial fibrillation analysis unit 220 detects the real-time monitoring data of the electrocardio parameters, and if atrial fibrillation occurs, information of an atrial fibrillation event and a duration period of the atrial fibrillation are generated. For example, the atrial fibrillation analysis unit 220 performs noise processing on the monitored data of the real-time electrocardiographic parameters; performing P wave analysis to obtain the existence of P waves, the starting and stopping points, the peak points and the like of the P waves; f-flutter wave analysis is carried out to obtain whether f-flutter waves exist or not; performing RR interval irregularity analysis, specifically, calculating RR interval length based on adjacent R waves, wherein the reciprocal is heart rate, performing irregularity analysis on a sequence formed by RR intervals within a preset period of time, and judging whether the heart rate of the current section is absolutely uneven; and (4) carrying out heart beat classification to obtain heart beat classification results, wherein the heart beat classification results comprise: sinus, atrial, ventricular and other categories 4; through one or more analyses described above, information of atrial fibrillation events occurring in the patient, such as start time and stop time of the occurrence of the atrial fibrillation events, is obtained and stored.
The atrial fibrillation analysis unit 220 further calculates a duration time period of atrial fibrillation based on the start and stop time of the atrial fibrillation, calculates a real-time atrial fibrillation load according to the duration time period of the atrial fibrillation and a preset update cycle, and defines a plurality of methods of the atrial fibrillation load, such as the longest duration time of the atrial fibrillation occurring in the preset update cycle (a preset time period), the number of the atrial fibrillation occurring or the percentage of the duration time period of the atrial fibrillation, in this embodiment, the percentage of the duration time period of the atrial fibrillation occurring in the update cycle is used as the atrial fibrillation load (AF Burden). The preset update period may be automatically preset by the system, or may be input or changed by the user, and may be measured in minutes, hours, or the like, where the update period is the minimum unit time period in this embodiment.
For another example, the heart rate analysis unit 210 acquires monitoring data in a preset atrial fibrillation monitoring period, and the atrial fibrillation analysis unit 220 performs atrial fibrillation detection based on the acquired monitoring data to obtain an atrial fibrillation event. The specific process is the same as the real-time atrial fibrillation detection, and is not described herein again.
In some embodiments, the atrial fibrillation analysis unit 220 may further directly obtain information of real-time atrial fibrillation events from the monitor through the signal collector 10, or directly obtain information of atrial fibrillation events occurring in the patient within a preset atrial fibrillation monitoring period from the monitor through the signal collector 10.
Atrial fibrillation analysis unit 220 obtains atrial fibrillation tendency information according to the atrial fibrillation event and/or atrial fibrillation load, where the atrial fibrillation tendency information may include: atrial fibrillation occurrence time trend (e.g., trend in the number of occurrences of atrial fibrillation per minimum unit time period), atrial fibrillation duration time trend (e.g., trend in the duration of atrial fibrillation per minimum unit time period), and atrial fibrillation load trend.
The statistical unit 230 obtains the heart rate from the heart rate analysis unit 210, obtains the atrial fibrillation event and the atrial fibrillation load from the atrial fibrillation analysis unit 220, and then performs analysis and statistics to obtain heart rate statistical information, atrial fibrillation statistical information, typical heart rate events and statistical information thereof, typical atrial fibrillation events and statistical information thereof, and total duration and/or total duration ratio of the heart rate exceeding the target heart rate in the preset atrial fibrillation monitoring period. The heart rate statistical information comprises at least one of the following: the duration and/or the duration ratio of the atrial fibrillation-occurring heart rate in different value ranges, the total duration and/or the duration ratio of the atrial fibrillation-occurring heart rate, the duration and/or the duration ratio of the atrial fibrillation-free heart rate in different value ranges, the total duration and/or the event ratio of the atrial fibrillation-free heart rate in different value ranges and the target heart rate identifier; the target heart rate identification is used for identifying a preset target heart rate. The atrial fibrillation statistical information comprises at least one of the following information: the method comprises the following steps of total occurrence frequency of atrial fibrillation, total duration time of atrial fibrillation, total load of atrial fibrillation, segmented statistical information of duration time of atrial fibrillation, target time-sharing information and target atrial fibrillation load identification, wherein the target atrial fibrillation load identification is used for identifying a preset target atrial fibrillation load value. Typical heart rate events and/or typical atrial fibrillation events include at least one of the following events: atrial fibrillation with a fast heart rate, atrial fibrillation with a long RR pause, tachycardia, bradycardia, extreme tachycardia, extreme bradycardia, first-onset atrial fibrillation, maximum-heart-rate atrial fibrillation, longest-duration atrial fibrillation, atrial fibrillation with a slow heart rate, and a heart rate extremum. For example, the statistical unit 230 determines whether the heart rate exceeds a corresponding threshold when atrial fibrillation occurs, and if yes, determines that atrial fibrillation occurs with a fast heart rate event; judging whether RR intermittence exceeds a corresponding threshold value when atrial fibrillation occurs, and if yes, determining that atrial fibrillation accompanies RR long intermittence events; judging the heart rate and the sizes between the preset extremely low limit, high limit and extremely high limit to determine whether the corresponding typical events such as bradycardia, extreme bradycardia, tachycardia, extreme tachycardia and the like occur; judging whether the occurred atrial fibrillation is the first atrial fibrillation, and if so, determining that the first atrial fibrillation event occurs; judging whether atrial fibrillation occurs when the heart rate is maximum, and if yes, determining that the maximum heart rate atrial fibrillation event occurs; comparing the duration time of each atrial fibrillation event to obtain the longest duration time of atrial fibrillation; judging whether the heart rate is lower than a corresponding threshold value when the atrial fibrillation occurs, and if so, determining that the atrial fibrillation is accompanied by a slow heart rate event; and comparing the heart rate to obtain the heart rate extreme value and the like. The typical heart rate event statistics and/or typical atrial fibrillation event statistics include one or more of a start time of occurrence, an end time of occurrence, a number of occurrences, a duration, or a corresponding atrial fibrillation load of the typical heart rate event and/or the typical atrial fibrillation event. Both typical heart rate events and typical atrial fibrillation events typically belong to alarm events, so the statistical unit 230 also displays corresponding alarm cues on the display.
The atrial fibrillation monitoring period includes a plurality of minimum unit time periods, for example, 1 hour is adopted for the minimum unit time period, and the statistical unit 230 performs statistics on numerical values of an extreme value, a mean value, a median value, a quantile and the like of the heart rate in each minimum unit time period; and counting the total duration and the proportion of the heart rate exceeding the target heart rate in the atrial fibrillation monitoring period based on the target heart rate identification. The duration of the heart rate exceeding the target heart rate may be, for example, the duration of the heart rate exceeding the target upper heart rate limit or the duration of the heart rate exceeding (falling below) the target lower heart rate limit, in the case where only the target upper heart rate limit or the target lower heart rate limit exists; for the case where both the upper and lower target heart rate limits are present, the duration of time for which the heart rate exceeds the upper target heart rate limit, the duration of time for which the heart rate exceeds (falls below) the lower target heart rate limit, and/or the sum of these two durations, etc. may be included.
And 2, the processor 20 displays an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result. The comprehensive view of atrial fibrillation comprises the following steps: heart rate information in the atrial fibrillation monitoring period and atrial fibrillation information in the atrial fibrillation monitoring period are preset. In the integrated atrial fibrillation view, the heart rate trend information comprises at least one of the following information: heart rate trend graph, heart rate quantitative information and target heart rate sign, wherein, target heart rate sign is used for the predetermined target heart rate of sign, and this embodiment uses including heart rate trend graph and target heart rate sign as the example and explains. The heart rate quantitative information can be a specific numerical value of the heart rate, and the heart rate can be quantitatively presented. It can be seen that the heart rate trend information may be presented in the form of graphics, text, numerical values, and the like. Similarly, the atrial fibrillation tendency information may also be presented in the form of graphics, text, numerical values, and the like. In the present embodiment, as shown in fig. 6, the heart rate trend information is presented in the form of a heart rate trend graph 810. In the comprehensive view of atrial fibrillation, information of atrial fibrillation in different time periods in a preset atrial fibrillation monitoring period can be represented by one or a combination of a curve graph, a histogram, a bar graph, a box line graph, a scatter diagram, a broken line graph, a pie chart and a ring diagram. For example, atrial fibrillation tendency information may be presented in the form of atrial fibrillation tendency chart 820 and/or atrial fibrillation load chart 830. Atrial fibrillation trend graph 820 shows the trend of atrial fibrillation events, which may be specifically the trend of the number of times of occurrence of atrial fibrillation in each minimum unit time period, the trend of the duration of atrial fibrillation in each minimum unit time period, or the like. In other words, atrial fibrillation information includes at least one of atrial fibrillation load, the number of occurrences of atrial fibrillation, and the duration of atrial fibrillation.
Processor 20 may also obtain monitored data for other vital sign parameters, so the integrated view of atrial fibrillation may further include trend plots (e.g., curves for ST-II, ART, etc. in fig. 6) for other vital sign parameters (e.g., pulse rate, blood oxygen, non-invasive blood pressure, respiration, body temperature, stroke cardiac output, ST segment of the electrocardiogram, QT interval of the electrocardiogram, blood glucose, cerebral oxygen, urine volume, etc.). The trend graph is used to reflect the relationship between time and quantity, for example, the trend graph is a statistical graph with time as horizontal axis and observation variable as vertical axis, and the trend and deviation of the variation development of the observation variable are observed. The observed variables on the vertical axis may be absolute amounts, average values, incidence rates, and the like.
The trend graphs of the heart rate trend graph and the other vital sign parameters may reflect the variation trend of the vital sign parameters, and may be one of a graph, a histogram, a bar graph, a box line graph, a scatter diagram, a line graph, a pie graph and a ring graph, or various combinations of a graph, a histogram, a bar graph, a box line graph, a scatter diagram, a line graph, a pie graph and a ring graph. Taking the heart rate trend graph as an example, the heart rate trend graph not only can present the variation relationship between the heart rate and time, but also can present numerical values such as extrema, mean, median, quantile and the like of the heart rate in each minimum unit time period, and the numerical values can be displayed through scatter, that is, the heart rate information includes: and the scatter diagram is used for reflecting the heart rate values and the extreme values, the mean values, the median values and/or the quantiles of the heart rate at different moments in the preset atrial fibrillation monitoring period. Certainly, the extremum, the mean, the median, and the quantile of each time period may also be connected by a broken line or a curve, that is, the heart rate information includes: and the curve chart or the line chart is used for reflecting the heart rate values and the extreme values, the mean values, the median values and/or the quantiles of the heart rate at different moments in the preset atrial fibrillation monitoring period. Of course, it is also possible to form one unit of a boxplot (box plot) by using the extremum, mean, median, and quantile of each time period as a group, that is, the heart rate information includes: the boxplot is used for embodying at least one of the extreme value, the mean value, the median value and the quantile of the heart rate in different preset time periods in the preset atrial fibrillation monitoring period.
The target heart rate indicator may be set on the heart rate trend graph, as shown in fig. 6, and in this embodiment, the target heart rate indicator is a target line 811 representing a target heart rate value. The target line 811 may be one line, representing an upper limit for the target heart rate value or a lower limit for the target heart rate value, the upper limit in fig. 6. The target line 811 may also include two lines, as shown in fig. 2 and 3, that respectively represent an upper limit for the target heart rate value and a lower limit for the target heart rate value. The physician can have a qualitative understanding of the total duration of heart rate exceeding the target heart rate over the preset atrial fibrillation monitoring period and the ratio of the total duration to the total duration based on the heart rate curve 810 and the target line 811. In order to facilitate quantitative analysis, the integrated view of atrial fibrillation further comprises: the total duration and/or the total duration ratio of the heart rate exceeding the target heart rate in the atrial fibrillation monitoring period is preset, for example, the value of the total duration and the total duration ratio of the heart rate exceeding the target heart rate is directly presented in an atrial fibrillation comprehensive view. The specific numerical value of the target line can be preset, and can also be changed on site (set after being dragged or clicked) on the comprehensive view of the atrial fibrillation; for example, the input device receives an instruction from a user to drag or click on a target heart rate indicator, and the processor updates the target heart rate corresponding to the target heart rate indicator and other data related to the target heart rate (e.g., the total duration and the total duration ratio, etc., as described above) in response to the instruction.
Through setting for the target line in heart rate trend graph to the transfinite condition of quantitative analysis heart rate at each period, the medical personnel of being convenient for carry out individualized heart rate control to the patient that quivers, analysis treatment such as operation, medicine, provide more effective high-efficient help for the management of quivers.
The heart rate statistical information in the integrated view of atrial fibrillation comprises at least one of the following in a preset atrial fibrillation monitoring period: the duration and/or the duration ratio of the atrial fibrillation occurring heart rate in different numerical ranges, the total duration and/or the duration ratio of the atrial fibrillation occurring heart rate, the duration and/or the duration ratio of the atrial fibrillation non-occurring heart rate in different numerical ranges, the total duration and/or the event ratio of the atrial fibrillation non-occurring heart rate and the target heart rate identification; the target heart rate identification is used for identifying a preset target heart rate. Which may be presented in the form of a heart rate histogram over a preset atrial fibrillation monitoring period. In this embodiment, the heart rate statistics graph is used to display the following information during the atrial fibrillation monitoring period: the duration or ratio of durations of atrial fibrillation occurring heart rates in different value ranges, the duration or ratio of durations of atrial fibrillation non-occurring heart rates in different value ranges, and the target heart rate identification. Through the heart rate statistical chart, the doctor can know the relation between heart rate and atrial fibrillation, is convenient for intervene patient's heart rate, atrial fibrillation etc.
Atrial fibrillation trend graph 820 is used to present atrial fibrillation events that occur in a patient over a preset atrial fibrillation monitoring period, e.g., to present a change in the number and/or frequency of atrial fibrillation events over the preset atrial fibrillation monitoring period. The atrial fibrillation tendency chart 820 may reflect the variation tendency of atrial fibrillation events, and may be one of a graph, a histogram, a bar graph, a box line graph, a scatter diagram, a line graph, a pie graph and a ring graph, or various combinations of a graph, a histogram, a bar graph, a box line graph, a scatter diagram, a line graph, a pie graph and a ring graph. Through the atrial fibrillation tendency chart 820, a doctor can see whether atrial fibrillation occurs in a time period to be concerned, the distribution (occurrence frequency and duration) condition of atrial fibrillation events, the existence and nonexistence of the atrial fibrillation and the like, and the method is very convenient.
Atrial fibrillation load map 830 is used to present the atrial fibrillation load for at least one minimum unit time period within a preset atrial fibrillation monitoring period. Through atrial fibrillation load graph 830, the load change between each minimum unit time period can be directly and quantitatively given, and doctors can see how much and little the cumulative degree of atrial fibrillation is, and the load is higher than or lower than the cumulative degree of atrial fibrillation, so that the atrial fibrillation load graph is very convenient to use. The minimum unit time period may be automatically preset by the system, or may be user-input or user-modified. In the embodiment shown in fig. 2 and 3, the minimum unit time period is 1 hour. The minimum unit time period may be the same as or different from the update cycle, and the former is taken as an example in the present embodiment. Fig. 2, 3 and 6 illustrate an atrial fibrillation load graph 830, which is a statistical histogram in which the height or length of each bar in the histogram represents the atrial fibrillation load per minimum unit time period, the maximum value of 100% means that the patient has continued to have atrial fibrillation during this minimum unit time period, and the width of the bar, i.e., the length of the minimum unit time period, can be set by the user. As shown in fig. 2 and 3, where the upper edge of the histogram is fitted with a continuous curve, it represents the distribution of changes in the overall atrial fibrillation load during the atrial fibrillation monitoring period. An atrial fibrillation load identifier is further arranged on the atrial fibrillation load graph 830 and used for identifying a preset target atrial fibrillation load value, and a target line representing the target atrial fibrillation load value is also adopted in the embodiment. Through set for the target line in load picture 830 that quivers, the medical personnel of being convenient for carry out individualized load control that quivers to the patient that quivers, analysis operation, treatment such as medicine provide more tangible efficient help for management of quivers.
In the integrated view of atrial fibrillation, at least one part of the heart rate information of a first time period is displayed in a differentiated mode different from the display modes of other time periods, and at least one part of the atrial fibrillation information of the first time period is displayed in a differentiated mode different from the display modes of other time periods, wherein the first time period is as follows: the heart rate exceeds a target heart rate for a duration of time greater than a preset threshold time during which atrial fibrillation occurs. For example, on the heart rate trend graph 810, the region corresponding to the first time period is displayed in a differentiated manner, for example, the region is marked with a thick color, a color, and the like, so that the region is different from the regions corresponding to other time periods, which is beneficial to visually prompting a doctor; on atrial fibrillation tendency chart 820 and/or atrial fibrillation load chart 830, the region corresponding to the first time period is displayed in a differentiated mode, for example, the region is marked, the color is marked, and the like, so that the region is different from the regions corresponding to other time periods, and a doctor is prompted in a striking mode. The threshold time is set as required, for example, the threshold time is half of the duration, that is, if the time that the heart rate exceeds the target line is greater than or equal to 50%, and an atrial fibrillation event occurs in the time period (as long as a histogram with a certain height appears in the corresponding time period of the atrial fibrillation load graph 830, it is determined that atrial fibrillation occurs), the corresponding areas on the heart rate trend graph 810, the atrial fibrillation trend graph 820 and/or the atrial fibrillation load graph 830 are color-distinguished to be highlighted, so that a doctor can quickly judge whether the heart rate exceeds the target line and is caused by atrial fibrillation.
Atrial fibrillation analysis unit 220 also displays real-time atrial fibrillation loads on the display interface of the display, and can display the real-time atrial fibrillation loads in the integrated atrial fibrillation view, namely the integrated atrial fibrillation view also comprises real-time atrial fibrillation load information, and also can display the real-time atrial fibrillation loads on other display interfaces. The so-called "real-time" in real-time atrial fibrillation loads is refreshed on the basis of a certain number of seconds, minutes or hours, namely, the refreshing is performed on the basis of an updating period, and a user can configure the updating period, and certainly, numerical refreshing can also be performed according to the occurrence time of an atrial fibrillation event.
The comprehensive view of atrial fibrillation also comprises: typical waveform information during the atrial fibrillation monitoring period is preset, as shown in the typical waveform region of fig. 6. The representative waveform information includes at least one segment of at least one of the following waveforms: the patient first sends the electrocardio waveform of atrial fibrillation, contains one section electrocardio waveform of rhythm of the heart highest value, contains one section electrocardio waveform of rhythm of the heart lowest value, contains one section electrocardio waveform of the biggest rhythm of the atrial fibrillation companion, the electrocardio waveform that the atrial fibrillation of duration longest corresponds. The first atrial fibrillation means that the patient has never found an atrial fibrillation event before clinical application, namely, the first atrial fibrillation event is found and has diagnostic value, and the patient has the value of having a time site for further detailed diagnosis and management of future atrial fibrillation. Because the heart rate control is a main strategy for atrial fibrillation management and is one of basic targets for atrial fibrillation treatment, the maximum value, the minimum value and other maximum values of the heart rate can reflect the effect of the heart rate control to a certain extent, and the heart rate control has clinical significance.
The comprehensive view of atrial fibrillation also comprises a preset monitoring period of atrial fibrillation: atrial fibrillation statistics, typical atrial fibrillation event statistics, typical heart rate event statistics, number of occurrences of atrial fibrillation within a total duration of heart rate exceeding a target heart rate, and/or duration of each atrial fibrillation within a total duration of heart rate exceeding a target heart rate. The atrial fibrillation statistical information of the integrated view of atrial fibrillation comprises at least one of the following information: the method comprises the steps of presetting the total occurrence frequency of atrial fibrillation in an atrial fibrillation monitoring period, presetting the total duration time of atrial fibrillation in the atrial fibrillation monitoring period, presetting the total load of atrial fibrillation in the atrial fibrillation monitoring period, subsection statistical information of the duration time of the atrial fibrillation and target atrial fibrillation load identification, wherein the target atrial fibrillation load identification is used for identifying a preset target atrial fibrillation load value. The typical heart rate event statistics and/or typical atrial fibrillation event statistics include one or more of an onset of occurrence, an end of occurrence, a number of occurrences, a duration, or a corresponding atrial fibrillation load of at least one of: atrial fibrillation with a fast heart rate, atrial fibrillation with an RR long pause, tachycardia, bradycardia, extreme tachycardia, extreme bradycardia, first atrial fibrillation, maximum heart rate atrial fibrillation, atrial fibrillation with the longest duration, atrial fibrillation with a slow heart rate and an extreme heart rate. Through the statistical information of typical events, a doctor can quickly know the heart rate, atrial fibrillation and other conditions of a patient in an atrial fibrillation monitoring period.
In the integrated atrial fibrillation view, the data obtained and processed by the heart rate analysis unit 210, the atrial fibrillation analysis unit 220 and the statistic unit 230 can be displayed in three independent display areas, such as an upper, a middle and a lower tiled rectangles. The data obtained by the heart rate analysis unit 210 and the atrial fibrillation analysis unit 220 may also be superimposed, the horizontal axis represents a time axis, and the vertical axes at two sides represent atrial fibrillation loads (0-100%) and heart rates (e.g., 0-150 bpm) respectively, that is, at least one part of the heart rate information and at least one part of the atrial fibrillation information are displayed by using the same time axis, for example, a heart rate trend graph in the heart rate information, an atrial fibrillation trend graph in the atrial fibrillation information, and an atrial fibrillation load graph are displayed by using the same time axis, as shown in fig. 6, and the three are displayed in parallel; of course, in some embodiments, atrial fibrillation load map 830 may be displayed in superimposition with heart rate trend map 810 and/or atrial fibrillation trend map 820, thereby facilitating the physician to visually compare the correlations between the three. The global statistics results such as the heart rate statistics information, the typical heart rate event statistics information, the atrial fibrillation statistics information and the typical atrial fibrillation event statistics information can be displayed in a centralized manner in one area (for example, the information statistics area in fig. 6). The global statistical result is referred to as 'joint display of heart rate abnormal events and atrial fibrillation events'.
Step 3, the user (such as a doctor) can operate on the comprehensive view of atrial fibrillation by the input device, for example, the operation of selecting the target time interval is performed. Processor 20 further displays, via the display, atrial fibrillation time-interval view 840 in response to user selection of a target time-interval, i.e., heart rate analysis unit 210, atrial fibrillation analysis unit 220, and statistics unit 230 collectively display atrial fibrillation time-interval view 840 based on the heart rate information and the atrial fibrillation information. The user can select the target time interval in various forms, for example, the target time interval can be directly input through an input device, or the target time interval can be selected on the heart rate trend chart 810, the trend chart of other vital sign parameters, the atrial fibrillation event trend chart 820 or the atrial fibrillation load chart 830 through the input device. The target time interval may be any one of the minimum unit time intervals, as shown in fig. 2 and fig. 3, the user operates the input device to click on the atrial fibrillation load graph 830, the minimum unit time interval corresponding to the clicked position is the target time interval, of course, the target time interval may also include a plurality of consecutive minimum unit time intervals, and the user may operate the input device to slide on the atrial fibrillation load graph 830 to select a distance, which is the target time interval, corresponding to the minimum unit time intervals; it can be seen that the content presented by atrial fibrillation period view 840 changes as the time interval that the user clicks varies. The user can select the interested time period when looking up the integrated view of the atrial fibrillation so as to present the view of the time period of the atrial fibrillation 840, and the information display is very quick.
In response to the user's operation of selecting the target time segment, the processor 20 further performs a differential display on at least a part of the heart rate information corresponding to the target time segment in a manner different from that of the other time segments, and performs a differential display on at least a part of the atrial fibrillation information corresponding to the target time segment in a manner different from that of the other time segments in the integrated atrial fibrillation view. For example, on the heart rate trend graph 810 of the integrated atrial fibrillation view, the regions corresponding to the target time intervals are displayed in a differentiated manner, for example, the regions are marked with thick marks, colors and the like, so that the regions are different from the regions corresponding to other time intervals, and a doctor is prompted in a striking manner; on an atrial fibrillation trend graph 820 and/or an atrial fibrillation load graph 830 of an atrial fibrillation comprehensive view, areas corresponding to target time intervals are displayed in a differentiated mode, for example, the areas are marked, marked with colors, displayed by broken lines of a and b and the like, so that the areas are different from areas corresponding to other time intervals, and a doctor can be prompted in a striking mode.
As shown in FIG. 2, integrated atrial fibrillation view 800 and time interval atrial fibrillation view 840 are displayed in different regions, e.g., time interval atrial fibrillation view 840 may be displayed around integrated atrial fibrillation view 800. Of course, as shown in fig. 3, integrated atrial fibrillation view 800 and time interval atrial fibrillation view 840 are displayed at least partially in superimposition, with time interval atrial fibrillation view 840 being located on top of integrated atrial fibrillation view 800. Atrial fibrillation period view 840 may also be displayed in the form of a floating window, that is, atrial fibrillation period view 840 is displayed on atrial fibrillation integrated view 800 as a floating window, and the floating window disappears when the user cancels the operation of the target period or disappears after staying for several seconds. The atrial fibrillation time period view 840 may also be displayed in a fixed region, i.e., the atrial fibrillation time period view 840 is always kept in a fixed region, and only when the user selects a different target time period, the content in the region changes accordingly. Of course, atrial fibrillation period view 840 may also be displayed on a separate display interface, etc.
Atrial fibrillation time period view 840 includes: at least one of the heart rate information in the target time interval and the atrial fibrillation information in the target time interval is described in this embodiment by including the above two information as an example. Likewise, the heart rate information in atrial fibrillation time period view 840 includes at least one of: heart rate trend information, heart rate statistical information and typical heart rate event statistical information; atrial fibrillation information in atrial fibrillation time period view 840 includes at least one of: atrial fibrillation tendency information, atrial fibrillation statistical information and typical atrial fibrillation event statistical information. The view 840 of the atrial fibrillation time interval can be equivalent to a local view of the integrated view 800 of the atrial fibrillation, and a doctor can see the integrated information of the heart rate and the atrial fibrillation in a target time interval, so that the condition of a patient can be accurately judged.
In atrial fibrillation time period view 840, the heart rate trend information includes at least one of: heart rate trend graph, heart rate quantitative information and target heart rate sign, wherein, target heart rate sign is used for the predetermined target heart rate of sign, and this embodiment uses including heart rate trend graph and target heart rate sign as the example and explains. The heart rate quantitative information can be a specific numerical value of the heart rate, and the heart rate can be quantitatively presented. It can be seen that the heart rate trend information in atrial fibrillation time interval view 840 can be presented in the form of graphics, text, numerical values, and the like. Similarly, the atrial fibrillation tendency information may also be presented in the form of graphics, text, numerical values, and the like. In the present embodiment, as shown in fig. 2 and 3, the heart rate trend information and the heart rate statistic information are displayed in the heart rate segment trend region. The heart rate trend information in the atrial fibrillation period view 840 is presented in the form of a heart rate trend graph 810', and a doctor can see the specific heart rate trend in the target period, so that the heart rate condition of a patient can be further mastered. In the atrial fibrillation time period view 840, atrial fibrillation information of different time periods in the target time period may be represented by one of a graph, a histogram, a bar graph, a box line graph, a scatter diagram, a broken line graph, a pie graph, and a ring graph, or a combination thereof. For example, atrial fibrillation tendency information may be presented in the form of an atrial fibrillation tendency map and/or an atrial fibrillation load map. In the embodiment shown in fig. 2 and fig. 3, atrial fibrillation segment view 840 includes atrial fibrillation information, which is mainly atrial fibrillation statistical information and typical atrial fibrillation event statistical information, and is displayed in an atrial fibrillation segment statistical region.
Atrial fibrillation session view 840 may also include trend plots of other vital sign parameters over the target session.
Similarly, the heart rate trend graph 810' and trend graphs of other vital sign parameters in the atrial fibrillation time period view 840 may be one of a graph, a histogram, a bar graph, a box plot, a scatter plot, a line plot, a pie graph, a donut graph, or a combination thereof. Similarly, taking the heart rate trend graph 810' as an example, it may present not only the variation of the heart rate in the target time period, but also the extreme value, the mean value, the median value, the quantile and other numerical values of the heart rate in each minimum unit time period, which may be displayed by scatter, that is, the heart rate information includes: and the scatter diagram is used for reflecting the heart rate values and the extreme values, the mean values, the median values and/or the quantiles of the heart rate at different moments in the target time interval. Of course, the extremum, the mean, the median, and the quantile of each minimum unit time period may also be connected by a broken line or a curve, that is, the heart rate information includes: and the curve chart or the line chart is used for reflecting the heart rate value, the extreme value, the mean value, the median value and/or the quantile of the heart rate at different moments in the target time interval. Of course, it is also possible to form one unit of a boxplot (box plot) by using the extremum, mean, median, and quantile of each minimum unit time period as a group, that is, the heart rate information includes: and the boxplot is used for reflecting at least one of the extreme value, the mean value, the median value and the quantile of the heart rate in different preset time periods in the target time period.
The target heart rate indicator may be disposed on the heart rate trend graph 810', as shown in graph 2/3, where the target heart rate indicator is a target line 811 that characterizes the target heart rate value in this embodiment. Like the target line in the integrated atrial fibrillation view, one or two target lines 811 may be included in the heart rate trend graph 810' of the atrial fibrillation period view 840, which is not described herein. Similarly, the atrial fibrillation time period view 840 may further include: the total duration and/or the total duration of the heart rate exceeding the target heart rate within the target time period is a ratio. Similarly, the specific value of the target line can be changed in the scene (set after dragging or clicking) on the atrial fibrillation time-interval view 840; for example, the input device receives an instruction from a user to drag or click on a target heart rate indicator, and the processor updates the target heart rate corresponding to the target heart rate indicator and other data related to the target heart rate (e.g., the total duration and the total duration ratio, etc., as described above) in response to the instruction.
The heart rate statistics in atrial fibrillation time-interval view 840 may be presented in the form of a heart rate statistics map 842 for the target time interval. The heart rate statistics 842 are used to display the following for a target time interval: the duration or ratio of durations of atrial fibrillation occurring heart rates at different value ranges, the duration or ratio of durations of non-atrial fibrillation occurring heart rates at different value ranges, and the target heart rate identification 811. Wherein heart rates of different types (atrial fibrillation and atrial fibrillation-free) are displayed differently in a heart rate histogram 842, e.g. marked with different colors or textures. On the basis of quantitatively counting the duration and the proportion of the heart rate in different numerical ranges, the method comprehensively considers the substantial influence of atrial fibrillation on the cardiovascular system of a patient, more directly and effectively presents the effect of controlling the heart rate of the patient with atrial fibrillation for medical care, and provides clinical reference significance for evaluating the prognosis of atrial fibrillation, the occurrence risk of dangerous events and the like for medical care.
An atrial fibrillation trend map (not shown) in atrial fibrillation time period view 840 is used to present the atrial fibrillation events occurring in the patient during the target time period, e.g., the number of atrial fibrillation events and/or the change in frequency over a preset atrial fibrillation monitoring period. Likewise, the tendency chart of atrial fibrillation in the time-interval atrial fibrillation view 840 may be one of a graph, a histogram, a bar chart, a box chart, a scatter chart, a line chart, a pie chart, a donut chart, or a combination thereof.
An atrial fibrillation load map (not shown) in atrial fibrillation time-interval view 840 is used to present the atrial fibrillation load for at least one minimum unit time interval within the target time interval. Similarly, the atrial fibrillation load map in atrial fibrillation time-interval view 840 may be a statistical histogram, where the height of each bar in the histogram represents the atrial fibrillation load per minimum unit time interval, and where the top edge of the histogram may be fitted with a continuous curve representing the distribution of the change in the overall atrial fibrillation load over the target time interval. A target atrial fibrillation load identifier may also be set on the atrial fibrillation load map in atrial fibrillation time-interval view 840.
In the atrial fibrillation period view 840, at least one part of the heart rate information in the second time period is displayed in a differentiated manner different from the display manner in other time periods, and at least one part of the atrial fibrillation information in the second time period is displayed in a differentiated manner different from the display manner in other time periods, where the second time period is: the heart rate in the target time interval exceeds the duration of the target heart rate, and the duration is greater than a preset threshold time within which atrial fibrillation occurs. For example, on the heart rate trend graph of the atrial fibrillation period view 840, the region corresponding to the second time period is displayed in a differentiated manner, for example, the region is marked with a thick mark, a color mark, and the like, so that the region is different from the regions corresponding to other time periods, which is beneficial to visually prompting a doctor; on the atrial fibrillation trend graph and/or the atrial fibrillation load graph of the atrial fibrillation time period view 840, the region corresponding to the second time period is displayed in a differentiated mode, for example, the region is marked out, the color is marked, and the like, so that the region is different from the regions corresponding to other time periods, and a doctor is prompted in a striking mode.
Atrial fibrillation time period view 840 may also include: typical waveform information within a target time interval. The representative waveform information includes at least one segment of at least one of the following waveforms: the patient's first atrial fibrillation's an electrocardiographic waveform, contain one section electrocardiographic waveform of rhythm of the heart highest value, contain one section electrocardiographic waveform of rhythm of the heart lowest value, contain one section electrocardiographic waveform of the biggest rhythm of the atrial fibrillation company, the electrocardiographic waveform that the atrial fibrillation that duration is the longest corresponds. The typical waveform information can be presented to the physician as a typical electrocardiographic waveform, which has clinical significance.
Also included in atrial fibrillation interval view 840 may be: atrial fibrillation statistical information, typical atrial fibrillation event statistical information, typical heart rate event statistical information, the number of times atrial fibrillation occurs within the total duration that the heart rate exceeds the target heart rate, and/or the duration of each atrial fibrillation within the total duration that the heart rate exceeds the target heart rate over the target time period. Atrial fibrillation statistics for atrial fibrillation time-interval view 840 are shown in figure 2/3 and include at least one of: the method comprises the steps of counting the total occurrence frequency of atrial fibrillation in a target time interval, the total duration of the atrial fibrillation in the target time interval, the total load of the atrial fibrillation in the target time interval, sectional statistic information of the duration of the atrial fibrillation, a target atrial fibrillation load identifier and target time interval information. By presenting the statistical information of the atrial fibrillation events and the typical events of the target time interval, doctors can quickly know the specific conditions of the heart rate, the atrial fibrillation and the like of patients in the target time interval.
In the atrial fibrillation time-interval view 840, at least one part of the heart rate information and at least one part of the atrial fibrillation information may be displayed on the same time axis, for example, the heart rate trend graph of the atrial fibrillation time-interval view 840, the atrial fibrillation trend graph of the atrial fibrillation time-interval view 840, and the atrial fibrillation load graph are displayed on the same time axis, and the three may be displayed in parallel, or of course, in some embodiments, the atrial fibrillation load graph may be displayed in an overlapping manner with the heart rate trend graph and/or the atrial fibrillation trend graph. Therefore, the doctor can visually compare the relevance of the three in the target time interval conveniently.
In summary, the monitoring device and the atrial fibrillation presenting method thereof provided by the invention can be used for presenting the quantitative analysis results of the atrial fibrillation and the heart rate in a centralized manner by combining elements such as graphics, characters and numerical values, so that two dimensional information of the atrial fibrillation and the heart rate can be organically combined. In addition, the invention particularly provides a method for setting a target line for the heart rate and quantitatively analyzing the overrun condition of the heart rate in each time period, so that medical personnel can conveniently perform personalized heart rate control on patients with atrial fibrillation, analyze the treatment effects of operations, medicines and the like, and provide more practical and efficient help for atrial fibrillation management.
In some embodiments, for example, in the case of no electrocardiographic signal, the heart rate in the above embodiments may be replaced by a pulse rate, and the other contents are the same as the above embodiments except that the pulse rate and the heart rate belong to different vital sign parameters, and therefore, the details are not described herein.
In the above embodiment, the atrial fibrillation presenting method is implemented by one monitoring device, and the invention further provides a monitoring system, in which the atrial fibrillation presenting method is completed by two devices in cooperation. For example, a monitoring system includes a first device and a second device. The first device and the second device are communicatively coupled.
The first equipment is used for monitoring the patient; acquiring monitoring data of at least one vital sign parameter including electrocardio parameters of a patient; heart rate detection is carried out according to the monitoring data to obtain a heart rate analysis result; and/or detecting atrial fibrillation according to the monitoring data to obtain an atrial fibrillation analysis result; and sending the heart rate analysis result and the atrial fibrillation analysis result to second equipment. That is, step 1 in fig. 5 is implemented by the first device, which may comprise a monitor or the like. The specific process of step 1 in fig. 5, which is described in detail in the above embodiment of the monitoring device, is executed by the first device, and is not described herein again.
The second equipment is used for displaying an atrial fibrillation comprehensive view according to the received heart rate analysis result and the received atrial fibrillation analysis result, and the atrial fibrillation comprehensive view comprises: presetting heart rate information and a target heart rate identification thereof in an atrial fibrillation monitoring period, and presetting atrial fibrillation information in the atrial fibrillation monitoring period; the atrial fibrillation information includes at least one of atrial fibrillation load, the number of occurrences of atrial fibrillation and atrial fibrillation duration; the target heart rate identification is used for identifying a preset target heart rate; and further displaying an atrial fibrillation time interval view in response to the operation of selecting the target time interval by the user, wherein the atrial fibrillation time interval view comprises the following steps: at least one of heart rate information within a target time interval and atrial fibrillation information within the target time interval. That is, steps 2 and 3 in fig. 5 are implemented by the second apparatus, which may include a central station or the like. The specific processes of steps 2 and 3 in fig. 5, which have been described in detail in the above embodiments of the monitoring device, are executed by the second device, and are not described herein again.
Reference is made herein to various exemplary embodiments. However, those skilled in the art will recognize that changes and modifications may be made to the exemplary embodiments without departing from the scope hereof. For example, the various operational steps, as well as the components used to perform the operational steps, may be implemented in differing ways depending upon the particular application or consideration of any number of cost functions associated with operation of the system (e.g., one or more steps may be deleted, modified or incorporated into other steps).
Additionally, as will be appreciated by one skilled in the art, the principles herein may be reflected in a computer program product on a computer readable storage medium having computer readable program code pre-loaded thereon. Any tangible, non-transitory computer-readable storage medium may be used, including magnetic storage devices (hard disks, floppy disks, etc.), optical storage devices (CD-ROMs, DVDs, Blu Ray disks, etc.), flash memory, and/or the like. These computer program instructions may be loaded onto a general purpose computer, special purpose computer, or other programmable data processing apparatus to produce a machine, such that the instructions which execute on the computer or other programmable data processing apparatus create means for implementing the functions specified. These computer program instructions may also be stored in a computer-readable memory that can direct a computer or other programmable data processing apparatus to function in a particular manner, such that the instructions stored in the computer-readable memory produce an article of manufacture including means for implementing the function specified. The computer program instructions may also be loaded onto a computer or other programmable data processing apparatus to cause a series of operational steps to be performed on the computer or other programmable apparatus to produce a computer implemented process such that the instructions which execute on the computer or other programmable apparatus provide steps for implementing the functions specified.
While the principles herein have been illustrated in various embodiments, many modifications of structure, arrangement, proportions, elements, materials, and components particularly adapted to specific environments and operative requirements may be employed without departing from the principles and scope of the present disclosure. The above modifications and other changes or modifications are intended to be included within the scope of this document.
The foregoing detailed description has been described with reference to various embodiments. However, one skilled in the art will recognize that various modifications and changes may be made without departing from the scope of the present disclosure. Accordingly, the disclosure is to be considered in an illustrative and not a restrictive sense, and all such modifications are intended to be included within the scope thereof. Also, advantages, other advantages, and solutions to problems have been described above with regard to various embodiments. However, the benefits, advantages, solutions to problems, and any element(s) that may cause any element(s) to occur or become more pronounced are not to be construed as a critical, required, or essential feature or element of any or all the claims. As used herein, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, system, article, or apparatus. Furthermore, the term "coupled," and any other variation thereof, as used herein, refers to a physical connection, an electrical connection, a magnetic connection, an optical connection, a communicative connection, a functional connection, and/or any other connection.
Those skilled in the art will recognize that many changes may be made to the details of the above-described embodiments without departing from the underlying principles of the invention. Accordingly, the scope of the invention should be determined from the following claims.

Claims (37)

1. A method for presenting atrial fibrillation, comprising:
acquiring a heart rate analysis result and an atrial fibrillation analysis result;
displaying an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: heart rate information in an atrial fibrillation monitoring period and atrial fibrillation information in the atrial fibrillation monitoring period are preset;
responding to the operation of selecting the target time interval by the user, further displaying an atrial fibrillation time interval view, wherein the atrial fibrillation time interval view comprises: at least one of heart rate information within the target time interval and atrial fibrillation information within the target time interval, wherein the target time interval is any one of a plurality of minimum unit time periods or includes a plurality of consecutive minimum unit time periods.
2. The method of claim 1, wherein prior to the step of obtaining heart rate analysis results and atrial fibrillation analysis results, the method further comprises:
acquiring monitoring data of at least one vital sign parameter including electrocardio parameters of a patient;
according to the monitoring data, heart rate detection is carried out to obtain a heart rate analysis result; and/or the presence of a gas in the gas,
and according to the monitoring data, performing atrial fibrillation detection to obtain an atrial fibrillation analysis result.
3. The method of claim 1 or 2, wherein the heart rate information comprises at least one of: heart rate trend information, heart rate statistical information and typical heart rate event statistical information; and/or, the atrial fibrillation information comprises at least one of: atrial fibrillation tendency information, atrial fibrillation statistical information and typical atrial fibrillation event statistical information.
4. The method of any of claims 1-3, wherein at least a portion of the heart rate information and at least a portion of the atrial fibrillation information are displayed on the same time axis in the atrial fibrillation time period view.
5. The method of any of claims 1 to 4, further comprising:
responding to the operation of selecting a target time interval by a user, in the integrated view of the atrial fibrillation, performing differentiated display on at least one part of the heart rate information corresponding to the target time interval in a manner different from that of other time intervals, and performing differentiated display on at least one part of the atrial fibrillation information corresponding to the target time interval in a manner different from that of other time intervals.
6. The method of claim 3, wherein the heart rate trend information includes at least one of: the heart rate identification method comprises a heart rate trend graph, heart rate quantitative information and a target heart rate identification, wherein the target heart rate identification is used for identifying a preset target heart rate.
7. The method of claim 6, wherein the target heart rate is identified as a target line characterizing a target heart rate value; the target line comprises two lines which respectively represent the upper limit of the target heart rate value and the lower limit of the target heart rate value; or, the target line is one and represents an upper limit of the target heart rate value or a lower limit of the target heart rate value.
8. The method of claim 3, wherein the heart rate statistics include at least one of: the duration and/or the duration ratio of the atrial fibrillation occurring heart rate in different numerical ranges, the total duration and/or the duration ratio of the atrial fibrillation occurring heart rate, the duration and/or the duration ratio of the atrial fibrillation non-occurring heart rate in different numerical ranges, the total duration and/or the event ratio of the atrial fibrillation non-occurring heart rate and the target heart rate identification; the target heart rate identification is used for identifying a preset target heart rate.
9. The method of claim 3, wherein the atrial fibrillation tendency information includes at least one of: an atrial fibrillation tendency chart, an atrial fibrillation occurrence frequency tendency, an atrial fibrillation duration tendency and an atrial fibrillation load tendency.
10. The method of claim 3, wherein the atrial fibrillation statistic information for the integrated view of atrial fibrillation comprises at least one of: presetting total atrial fibrillation occurrence times in an atrial fibrillation monitoring period, presetting total atrial fibrillation duration in the atrial fibrillation monitoring period, presetting total atrial fibrillation load in the atrial fibrillation monitoring period, sectional statistical information of the atrial fibrillation duration and target atrial fibrillation load identification, wherein the target atrial fibrillation load identification is used for identifying a preset target atrial fibrillation load value; the atrial fibrillation statistical information of the atrial fibrillation time-interval view comprises at least one of the following information: the method comprises the following steps of total occurrence frequency of atrial fibrillation in a target time interval, total duration of atrial fibrillation in the target time interval, total load of atrial fibrillation in the target time interval, sectional statistical information of the duration of the atrial fibrillation, identification of the target atrial fibrillation load and target time interval information.
11. The method of claim 3, wherein the typical heart rate event statistics and/or the typical atrial fibrillation event statistics include one or more of an onset of occurrence, an end of occurrence, a number of occurrences, a duration, or a corresponding atrial fibrillation load of at least one of: atrial fibrillation with a fast heart rate, atrial fibrillation with a long RR pause, tachycardia, bradycardia, extreme tachycardia, extreme bradycardia, first-onset atrial fibrillation, maximum-heart-rate atrial fibrillation, longest-duration atrial fibrillation, atrial fibrillation with a slow heart rate, and a heart rate extremum.
12. The method of any of claims 1-11, wherein said integrated view of atrial fibrillation and said view of intervals of atrial fibrillation are displayed in different regions;
or, the integrated view of atrial fibrillation and the view of atrial fibrillation time interval are displayed at least partially coincidently;
or the atrial fibrillation time-interval view is displayed in a floating window mode; alternatively, the display is performed in a fixed area.
13. A method of presenting atrial fibrillation and heart rate, comprising:
acquiring a heart rate analysis result and an atrial fibrillation analysis result;
displaying an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: presetting heart rate information and a target heart rate identification thereof in an atrial fibrillation monitoring period, and presetting atrial fibrillation information in the atrial fibrillation monitoring period; the atrial fibrillation information comprises at least one of atrial fibrillation load, the frequency of occurrence of atrial fibrillation and atrial fibrillation duration; the target heart rate identification is used for identifying a preset target heart rate.
14. The method of claim 13, wherein prior to the step of obtaining heart rate analysis results and atrial fibrillation analysis results, the method further comprises:
acquiring monitoring data of at least one vital sign parameter including electrocardio parameters of a patient;
according to the monitoring data, heart rate detection is carried out to obtain a heart rate analysis result; and/or the presence of a gas in the gas,
and according to the monitoring data, performing atrial fibrillation detection to obtain an atrial fibrillation analysis result.
15. The method of claim 13 or 14, wherein the integrated view of atrial fibrillation further comprises:
and presetting the total duration and/or the total duration ratio of the heart rate exceeding the target heart rate in the atrial fibrillation monitoring period.
16. The method of any of claims 13 to 15, wherein the heart rate information comprises:
a scatter diagram used for reflecting heart rate values at different moments in a preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
a curve chart or a line graph used for reflecting the heart rate values at different moments in the preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
and the boxplot is used for embodying at least one of the extreme value, the mean value, the median value and the quantile of the heart rate in different preset time periods in the preset atrial fibrillation monitoring period.
17. The method of any of claims 13 to 16, wherein at least a portion of the heart rate information and atrial fibrillation information share a common time axis.
18. The method of any of claims 13 to 17, further comprising:
in the integrated view of the atrial fibrillation, displaying at least one part of the heart rate information corresponding to the target time interval selected by the user in a different display mode from that of other time intervals, and displaying at least one part of the atrial fibrillation information corresponding to the target time interval selected by the user in a different display mode from that of other time intervals; and/or the presence of a gas in the gas,
at least one part of the heart rate information in the first time period is displayed in a differentiated mode different from the display mode of other time periods, and at least one part of the atrial fibrillation information in the first time period is displayed in a differentiated mode different from the display mode of other time periods, wherein the first time period is as follows: a heart rate exceeding a duration of the target heart rate, and wherein the duration is greater than a preset threshold time for which atrial fibrillation occurred.
19. The method of any of claims 13 to 18, wherein the integrated view of atrial fibrillation further comprises: the atrial fibrillation monitoring system comprises one or a combination of a curve graph, a histogram, a bar graph, a box line graph, a scatter diagram, a broken line graph, a pie graph and a ring graph, wherein the curve graph, the bar graph, the box line graph, the scatter diagram, the broken line graph, the pie graph and the ring graph are used for reflecting atrial fibrillation information of different time periods in a preset atrial fibrillation monitoring period; or presetting typical atrial fibrillation event statistical information and/or typical heart rate event statistical information in an atrial fibrillation monitoring period.
20. The method of claim 19, wherein the typical atrial fibrillation event statistics and/or typical heart rate event statistics include one or more of an onset of occurrence, an end of occurrence, a number of occurrences, a duration, or a corresponding atrial fibrillation load of at least one of the following typical events: atrial fibrillation with a fast heart rate, atrial fibrillation with a long RR pause, tachycardia, bradycardia, extreme tachycardia, extreme bradycardia, atrial fibrillation with a slow heart rate, first atrial fibrillation, maximum heart rate atrial fibrillation, longest duration atrial fibrillation and an extreme heart rate value; and/or the number of occurrences of atrial fibrillation with a heart rate exceeding the total duration of the target heart rate, the duration of each atrial fibrillation with a heart rate exceeding the total duration of the target heart rate.
21. The method of any of claims 13 to 20, wherein the integrated view of atrial fibrillation further comprises: presetting typical waveform information in an atrial fibrillation monitoring period; the typical waveform information includes at least one segment of at least one of the following waveforms: the patient first sends the electrocardio waveform of atrial fibrillation, contains one section electrocardio waveform of rhythm of the heart highest value, contains one section electrocardio waveform of rhythm of the heart lowest value, contains one section electrocardio waveform of the biggest rhythm of the atrial fibrillation companion, the electrocardio waveform that the atrial fibrillation of duration longest corresponds.
22. The method of any of claims 13 to 21, wherein the integrated view of atrial fibrillation further comprises: presetting a heart rate statistical chart in an atrial fibrillation monitoring period; the heart rate statistics graph is used to display: the duration or ratio of durations of atrial fibrillation occurring heart rates in different value ranges, the duration or ratio of durations of atrial fibrillation non-occurring heart rates in different value ranges, and the target heart rate identification.
23. A monitoring device, comprising:
the device comprises a display, an input device and a processor, wherein the processor is used for acquiring a heart rate analysis result and an atrial fibrillation analysis result; controlling the display to display an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: presetting heart rate information in an atrial fibrillation monitoring period and presetting atrial fibrillation information in the atrial fibrillation monitoring period; in response to an operation received by the input device for selecting a target time interval, further displaying an atrial fibrillation time interval view, including: at least one of heart rate information within the target time interval and atrial fibrillation information within the target time interval, wherein the target time interval is any one of a plurality of minimum unit time periods or includes a plurality of consecutive minimum unit time periods.
24. The monitoring device of claim 23, further comprising a signal collector for obtaining monitored data of at least one vital sign parameter of the patient including the cardiac electrical parameter;
the processor is specifically configured to perform heart rate detection according to the monitoring data to obtain the heart rate analysis result; and/or detecting atrial fibrillation according to the monitoring data to obtain an atrial fibrillation analysis result.
25. The monitoring device of claim 23 or 24, wherein the heart rate information comprises at least one of: heart rate trend information, heart rate statistical information and typical heart rate event statistical information; and/or, the atrial fibrillation information comprises at least one of: atrial fibrillation tendency information, atrial fibrillation statistical information and typical atrial fibrillation event statistical information.
26. The monitoring device of any of claims 23-25, wherein at least a portion of the heart rate information and at least a portion of the atrial fibrillation information are displayed on the same time axis in the atrial fibrillation time-interval view.
27. A monitoring device, comprising:
the processor is used for acquiring a heart rate analysis result and an atrial fibrillation analysis result; controlling the display to display an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: presetting heart rate information and a target heart rate identification thereof in an atrial fibrillation monitoring period, and presetting atrial fibrillation information in the atrial fibrillation monitoring period; the atrial fibrillation information comprises at least one of atrial fibrillation load, the frequency of occurrence of atrial fibrillation and atrial fibrillation duration; the target heart rate identification is used for identifying a preset target heart rate.
28. The monitoring device of claim 27, wherein the integrated view of atrial fibrillation further comprises:
and presetting the total duration and/or the total duration ratio of the heart rate exceeding the target heart rate in the atrial fibrillation monitoring period.
29. The monitoring device of claim 27 or 28, wherein the heart rate information comprises:
a scatter diagram used for reflecting heart rate values at different moments in a preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
the curve chart or the line graph is used for reflecting the heart rate values at different moments in the preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
and the boxplot is used for embodying at least one of the extreme value, the mean value, the median value and the quantile of the heart rate in different preset time periods in the preset atrial fibrillation monitoring period.
30. The monitoring device of any one of claims 23 to 29, wherein the monitoring device comprises a monitor or a central station.
31. A monitoring system, comprising:
a first device for monitoring a patient; acquiring monitoring data of at least one vital sign parameter including electrocardio parameters of a patient; according to the monitoring data, heart rate detection is carried out to obtain a heart rate analysis result; and/or detecting atrial fibrillation according to the monitoring data to obtain an atrial fibrillation analysis result; sending the heart rate analysis result and the atrial fibrillation analysis result to second equipment;
and the second equipment is used for displaying an atrial fibrillation comprehensive view according to the received heart rate analysis result and the received atrial fibrillation analysis result, wherein the atrial fibrillation comprehensive view comprises: heart rate information in an atrial fibrillation monitoring period and atrial fibrillation information in the atrial fibrillation monitoring period are preset; responding to the operation of selecting the target time interval by the user, further displaying an atrial fibrillation time interval view, wherein the atrial fibrillation time interval view comprises: at least one of heart rate information within the target time interval and atrial fibrillation information within the target time interval.
32. The monitoring system of claim 31, wherein at least a portion of the heart rate information and at least a portion of the atrial fibrillation information are displayed on the same time axis in the atrial fibrillation time period view.
33. A monitoring system, comprising:
a first device for monitoring a patient; acquiring monitoring data of at least one vital sign parameter including electrocardio parameters of a patient; according to the monitoring data, heart rate detection is carried out to obtain a heart rate analysis result; and/or detecting atrial fibrillation according to the monitoring data to obtain an atrial fibrillation analysis result; sending the heart rate analysis result and the atrial fibrillation analysis result to second equipment;
the second equipment is used for displaying an atrial fibrillation comprehensive view according to the heart rate analysis result and the atrial fibrillation analysis result, and the atrial fibrillation comprehensive view comprises: presetting heart rate information and a target heart rate identification thereof in an atrial fibrillation monitoring period, and presetting atrial fibrillation information in the atrial fibrillation monitoring period; the atrial fibrillation information comprises at least one of atrial fibrillation load, the frequency of occurrence of atrial fibrillation and atrial fibrillation duration; the target heart rate identification is used for identifying a preset target heart rate.
34. The monitoring system of claim 33, wherein the integrated view of atrial fibrillation further comprises:
and presetting the total duration and/or the total duration ratio of the heart rate exceeding the target heart rate in the atrial fibrillation monitoring period.
35. The monitoring system of claim 33 or 34, wherein the heart rate information comprises:
a scatter diagram used for reflecting heart rate values at different moments in a preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
the curve chart or the line graph is used for reflecting the heart rate values at different moments in the preset atrial fibrillation monitoring period; alternatively, the first and second electrodes may be,
and the boxplot is used for embodying at least one of the extreme value, the mean value, the median value and the quantile of the heart rate in different preset time periods in the preset atrial fibrillation monitoring period.
36. A monitoring system as claimed in any one of claims 31 to 35, wherein the first device comprises a monitor and the second device comprises a central station.
37. A computer-readable storage medium, comprising a program executable by a processor to implement the method of any one of claims 1-22.
CN202011380156.9A 2020-11-30 2020-11-30 Monitoring system, monitoring equipment and atrial fibrillation presenting method thereof Pending CN114569098A (en)

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